Organization Active NPI

Northern Lights Pharmacy Inc

  • Community/Retail Pharmacy
  • Reynoldsburg, OH
National Provider Identifier
1609573302
Registry record updated Dec 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
NORTHERN LIGHTS PHARMACY INC
Practice address
6954 Americana Pkwy Ste P
Reynoldsburg, OH 43068-4115
Phone
(614) 928-9230
Fax
(614) 928-9233
NPI assigned
Feb 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Amrit Adhikari
Title
Ceo
Phone
(614) 928-9230

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

6954 Americana Pkwy Ste P
Reynoldsburg, OH 43068-4115

Mailing address

6954 Americana Pkwy Ste P
Reynoldsburg, OH 43068-4115
Phone (614) 928-9230

National Provider Directory

National Provider Directory

Locations

6954 Americana Pkwy
Ste P
Reynoldsburg, OH 43068
Phone (419) 699-0169

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1676246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735430400000",
    "number": "1609573302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6954 AMERICANA PKWY STE P",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430684115",
            "telephone_number": "614-928-9230",
            "fax_number": "614-928-9233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6954 AMERICANA PKWY STE P",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430684115",
            "telephone_number": "614-928-9230",
            "fax_number": "614-928-9233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN LIGHTS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-13",
        "last_updated": "2024-12-29",
        "certification_date": "2024-12-29",
        "status": "A",
        "authorized_official_last_name": "ADHIKARI",
        "authorized_official_first_name": "AMRIT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "614-928-9230",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reynoldsburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.